Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jesse I Broome, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1528308558

Jesse I Broome, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Longview, Washington. Qualified in 2013, 13 years ago. Practices with Hospitalist Medicine Physicians of Washington - Tcs, a 208-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida and Washington.

Years since qualifying
13
Licensed in
FL, WA
In the registry since
2013
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1615 Delaware St
Longview, WA 98632-2367
Phone: (360) 414-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2211 Ne 139th St, Vancouver, WA 98686-2742 — (360) 828-5396
  • 2312 Ne 129th St, Vancouver, WA 98686-3236 — (360) 514-7060

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence AP60556936 (WA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 9310702 (FL)

Record details

NPI number1528308558
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedFebruary 28, 2013
Last updated in NPPESMay 18, 2023
Certification dateMay 18, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Hospitalist Medicine Physicians Of Washington - Tcs — 208 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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